Minimal important change in physical function in trauma patients: a study using the short musculoskeletal function assessment.

Tytuł:: Minimal important change in physical function in trauma patients: a study using the short musculoskeletal function assessment.
Autorzy:: de Graaf MW; Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, PO Box 30 001, 9700 RB, Groningen, The Netherlands. .
Reininga IHF; Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, PO Box 30 001, 9700 RB, Groningen, The Netherlands.
Heineman E; Department of Surgery, University Medical Center Groningen, University of Groningen, PO Box 30 001, 9700 RB, Groningen, The Netherlands.
El Moumni M; Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, PO Box 30 001, 9700 RB, Groningen, The Netherlands.
Źródło:: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2020 Aug; Vol. 29 (8), pp. 2231-2239. Date of Electronic Publication: 2020 Apr 04.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2005- : Netherlands : Springer Netherlands
Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
MeSH Terms:: Disability Evaluation*
Musculoskeletal Diseases/*physiopathology
Quality of Life/*psychology
Wounds and Injuries/*physiopathology
Adolescent ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Surveys and Questionnaires ; Young Adult
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Contributed Indexing:: Keywords: Injury; Minimal clinically important; Minimal important difference; Patient reported outcome; Short musculoskeletal function assessment; Trauma
Entry Date(s):: Date Created: 20200406 Date Completed: 20200828 Latest Revision: 20200828
Update Code:: 20240105
PubMed Central ID:: PMC7363715
DOI:: 10.1007/s11136-020-02476-8
PMID:: 32248354
: Czasopismo naukowe

Pełny tekst

Purpose: The Short Musculoskeletal Function Assessment (SMFA) questionnaire can be used to evaluate physical functioning in patients with traumatic injuries. It is not known what change in score reflects a meaningful change to patients. The aim was to determine minimal important change (MIC) values of the subscales (0-100) of the Dutch SMFA-NL in a sample of patients with a broad range of injuries.
Methods: Patients between 18 and 65 years of age completed the SMFA-NL and the Global Rating of Effect (GRE) questions at 6-week and 12-month post-injury. Anchor-based MIC values were calculated using univariable logistic regression analyses.
Results: A total of 225 patients were included (response rate 67%). The MIC value of the Upper Extremity Dysfunction (UED) subscale was 8 points, with a misclassification rate of 43%. The Lower Extremity Dysfunction subscale MIC value was 14 points, with a misclassification rate of 29%. The MIC value of the Problems with Daily Activities subscale was 25 points, with a misclassification rate of 33%. The MIC value of the Mental and Emotional Problems (MEP) subscale was 7 points, with a misclassification rate 37%.
Conclusion: MIC values of the SMFA-NL were determined. The MIC values aid interpreting whether a change in physical functioning can be considered clinically important. Due to the considerable rates of misclassification, the MIC values of the UED and MEP subscales should be used with caution.

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